Supplemental Document

83c Change Worksheet- HUD Form 50123.doc

Loan Guarantees for Indian Housing

Supplemental Document

OMB: 2577-0200

Document [doc]
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Paperwork Reduction Act

Change Worksheet

Agency/Subagency:

U.S. Department of Housing and Urban Development

Office of Public and Indian Housing

OMB Control Number:

2577-0200

Enter only items that change

Current Record

New Record**

Agency form number(s)

Section 184 Indian Loan Guarantee Program Endorsement Submission Case Binder Assembly

Form HUD-50123


Annual reporting and keeping hour burden




Number of respondents

     

     


Total annual responses

     

     


Percent of these responses collected electronically

    %

    %


Total annual hours

     

     


Difference


     


Explanation of difference

Program change

Adjustment


     

     

Annual reporting and recordkeeping cost burden (in thousands of dollars)




Total annualized Capital/Startup costs

     

     


Total annual costs (O&M)

     

     


Total annualized cost requested

     

     


Difference


     


Explanation of difference

Program change

Adjustment


     

     

Other change: **



  1. Good Faith Estimate was removed and replaced with the TILA-RESPA Integrated Disclosure Form which has been mandated by the Consumer Financial Protection Bureau (CFPB).


  1. Final Truth in Lending Disclosure was removed and replaced with the TILA-RESPA Integrated Disclosure Form which has been mandated by the Consumer Financial Protection Bureau (CFPB).


These certification changes will have no significant impact on information collection burden.


Signature of Senior Official or Designee:





X Colette Pollard, Departmental Reports Management Officer, OCIO

Date:

For OIRA Use




** This form cannot be used to extend an expiration date.

OMB 83-C 10/95

File Typeapplication/msword
File TitlePaperwork Reduction Act
AuthorPreferred User
Last Modified ByHUD User
File Modified2016-04-25
File Created2016-04-25

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